The Neer's test is a physical examination maneuver used to assess for shoulder impingement, specifically subacromial impingement, which involves the compression of tendons and bursae in the shoulder area.
How the Neer's Test is Performed
The test is performed by:
- Stabilizing the Scapula: The examiner uses one hand to depress the patient's scapula.
- Internally Rotating the Arm: The examiner uses their other hand to internally rotate the patient's arm.
- Forward Flexion: While maintaining the scapula and arm position, the examiner then maximally forces the patient's arm into forward flexion at the glenohumeral joint.
Interpreting the Test
- Positive Test: The test is considered positive if the patient experiences pain during this movement, particularly at the front or outer aspect of the shoulder. This pain suggests possible subacromial impingement.
- Negative Test: A negative test is when no pain is elicited during the procedure. However, a negative test does not completely rule out subacromial impingement.
Clinical Relevance of the Neer's Test
The Neer's test is a common orthopedic test used to help diagnose shoulder conditions like:
- Subacromial Impingement Syndrome: This is the primary condition the test is designed to detect.
- Rotator Cuff Tendinopathy: Pain during the Neer's test could be related to inflammation or irritation of the rotator cuff tendons.
- Bursitis: The bursa, which reduces friction between the bones and tendons, can also be a source of pain in shoulder impingement.
Summary
| Test Component | Description |
|---|---|
| Scapula Stabilization | Depressed with one hand |
| Arm Position | Internally rotated |
| Movement | Forced forward flexion at the glenohumeral joint |
| Positive Result | Reproduction of pain, usually in the front or outer part of the shoulder |
